During DKA treatment, plasma glucose falls to 190 mg/dL while the anion gap remains elevated. What change is recommended?...

Question

During DKA treatment, plasma glucose falls to 190 mg/dL while the anion gap remains elevated. What change is recommended?

Accepted Answer

Add dextrose to IV fluids and reduce insulin to 0.02-0.05 units/kg/h

Answer

Stop insulin and give only dextrose

Answer

Continue insulin at 0.1 units/kg/h without dextrose

Answer

Give sodium bicarbonate infusion

Answer

Switch to subcutaneous insulin immediately

us-abem MCQ (SBA): DKA-Glucose <200 mg/dL Transition